共情护理联合励-协夫曼言语训练对老年脑梗死的影响

Effect Evaluation of Empathic Nursing Combined with Lee Silverman Voice Treatment in Elderly Patients with Cerebral Infarction

目的探讨共情护理联合励-协夫曼言语训练(LSVT)应用于老年脑梗死的效果评价及对患者负性情绪、吞咽功能及依从性的影响。方法选取2020年12月-2022年12月中国人民解放军北部战区总医院与中国人民解放军空军军医大学西京医院收治的老年脑梗死患者100例为研究对象,按照随机数字表法分为两组,各50例。对照组采用常规护理和常规言语干预训练,观察组采用共情护理联合LSVT。比较两组神经功能[简易上肢功能评价量表(STEF)]、运动功能[Fugl-Meyer运动功能量表(FMA)]、负性情绪[焦虑自评量表(SAS)、抑郁自评量表(SDS)]、吞咽功能(洼田饮水试验)、日常生活能力(Barthel量表)、依从性及护理满意度情况。结果干预前,两组STEF评分、FMA评分、SAS评分、SDS评分、洼田饮水试验结果及Barthel量表评分比较,差异均无统计学意义(P>0.05);干预后,两组STEF评分、FMA评分及Barthel量表评分均高于干预前(P<0.05),SAS评分、SDS评分均低于干预前(P<0.05)。干预后,观察组STEF评分、FMA评分及Barthel量表评分均高于对照组(P<0.05),SAS评分、SDS评分均低于对照组(P<0.05),洼田饮水试验结果优于对照组(P<0.05)。观察组总依从率、护理满意度均高于对照组(P<0.05)。结论共情护理联合LSVT可以对老年脑梗死患者产生积极效果,提高患者的神经功能、运动功能和吞咽功能,并减少负性情绪,患者对此具有较高的依从性和满意度。

Objective To evaluate the effect of empathic nursing combined with Lee Silverman voice treatment(LSVT)on negative emotion,swallowing function and compliance in elderly patients with cerebral infarction.Methods A total of 100 elderly patients with cerebral infarction admitted to General Hospital of Northern Theater Command and the First Affiliated Hospital of Air Force Medical University from December 2020 to December 2022 were selected as the research objects,and they were divided into two groups according to random number table method,with 50 cases in each group.The control group received routine nursing and routine speech intervention training,and the study group received empathic nursing combined with LSVT.The neurological function[simple test for evaluating hand function scale(STEF)],motor function[Fugl-Meyer motor assessment scale(FMA)],negative emotions[self rating anxiety scale(SAS),self-rating depression scale(SDS)],swallowing function(wata drinking water test),activities of daily living(Barthel scale),compliance and nursing satisfaction were compared between the two groups.Results Before intervention,between the two groups,there was no significant difference in STEF score,FMA score,SAS score,SDS score,drinking water test and Barthel scale score(P>0.05).After intervention,STEF scores,FMA scores and and Barthel scale score in both groups were higher than those before intervention(P<0.05),and SAS score,SDS score were lower than those before intervention(P<0.05).After intervention,the STEF scores,FMA scores and and Barthel scale score in the observation group were higher than those in the control group(P<0.05),the SAS score,SDS score and drinking water test in the observation group were lower than those in the control group(P<0.05),and the drinking water test in the observation group was better than that in the control group(P<0.05).The total sequence rate and nursing satisfaction in observation group were higher than those in control group(P<0.05).Conclusion Empathic nursing combined with LSVT has a positive effect on the elderly patients with cerebral infarction,which can improve the neurological function,motor function and swallowing function,and reduce the negative emotion.In addition,patients have high compliance and satisfaction with this nursing method.